Organization Active NPI

Affinity Residential Care LLC

  • Nursing Facility/Intermediate Care Facility
  • Bloomington, MN
National Provider Identifier
1548817620
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
AFFINITY RESIDENTIAL CARE LLC
Practice address
2001 W 94TH St Ste 5
Bloomington, MN 55431-2341
Phone
(952) 217-4750
Fax
(612) 930-0108
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zahnia Aminah Harut, RNNPI 1083300750
Title
Owner
Phone
(612) 386-0942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

2001 W 94TH St Ste 5
Bloomington, MN 55431-2341

Mailing address

2001 W 94TH St Ste 5
Bloomington, MN 55431-2341
Phone (612) 386-0942

Other practice location 1

9213 Elliot Ave S
Bloomington, MN 55420-3823
Phone (612) 386-0942

Other practice location 2

8053 E Bloomington Fwy Ste 500
Bloomington, MN 55420-1003
Phone (952) 217-4750

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2184791Affinity Residential Care Home9213 Elliot Ave South, Bloomington, MN 55420Certificate of waiverMay 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Affinity Residential Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1548817620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 94TH ST STE 5",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312341",
            "telephone_number": "612-386-0942",
            "fax_number": "612-930-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 94TH ST STE 5",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312341",
            "telephone_number": "952-217-4750",
            "fax_number": "612-930-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9213 Elliot Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554203823",
            "country_code": "US",
            "telephone_number": "612-386-0942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8053 E Bloomington Fwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554201003",
            "country_code": "US",
            "telephone_number": "952-217-4750",
            "fax_number": "612-930-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFINITY RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "HARUT",
        "authorized_official_first_name": "ZAHNIA",
        "authorized_official_middle_name": "AMINAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-386-0942",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.